Individual provider Active NPI

Shahabuddin Ahmed, D.O

  • Hospitalist Physician
  • Daytona Beach, FL
National Provider Identifier
1174899546
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
OS13176 Issued in FL
Practice address
303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Phone
(386) 226-4542
Fax
(386) 239-2354
NPI assigned
Mar 29, 2012
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 2755 TN
Hospitalist Physician 208M00000X OS13176 FL Primary

Addresses

Primary practice location

303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709

Mailing address

303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Phone (386) 226-4542

Other practice location 1

851 Dunlawton Ave Ste 104
Port Orange, FL 32127-4234
Phone (919) 599-4196

Other practice location 2

2525 DeSales Ave
Chattanooga, TN 37404-1102
Phone (423) 495-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NE, IA, ND, GA, TN, MN7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20150831000365 FL Practitioner - HospitalistPractitioner - Internal Medicine 7214255819 Reassigns benefits to 3 organizations
I20230825002575 NE Practitioner - Hospitalist 7214255819 Reassigns benefits to 1 organization
I20230905003560 IA Practitioner - Hospitalist 7214255819 Reassigns benefits to 1 organization
I20230919000952 ND Practitioner - Hospitalist 7214255819 Reassigns benefits to 8 organizations
I20251016005107 GA Practitioner - HospitalistPractitioner - Internal Medicine 7214255819 Reassigns benefits to 1 organization
I20251019000191 TN Practitioner - HospitalistPractitioner - Internal Medicine 7214255819 Reassigns benefits to 1 organization
I20260327002193 MN Practitioner - Hospitalist 7214255819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, shared by 2 NPIs, 951 clinicians

Practice addresses (Care Compare)

2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 495-2525

4710 Battlefield Pkwy
Ringgold, GA 30736-5164
Phone (423) 495-2525

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-5580

800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (712) 328-5490

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS13176FLMDHospitalist Physician
2755TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lisbon Area Health Services CurrentSince Nov 4, 2025 Accepting new patients
Halifax Healthcare Systems Inc Hospitalist CurrentSince Jun 29, 2015 Accepting new patients
Apogee Medical Group, Florida Inc Hospitalist CurrentSince Jun 1, 2020 Accepting new patients
Mercy Hospital CurrentSince Jul 1, 2024 Accepting new patients
Mercy Hospital of Valley City Current Accepting new patients
Oakes Community Hospital CurrentSince Sep 19, 2023 Accepting new patients
Alegent Creighton Clinic CurrentSince Sep 19, 2023 Accepting new patients
Alegent Creighton Clinic Hospitalist CurrentSince Sep 19, 2023 Accepting new patients
Oakes Community Hospital CurrentSince Sep 19, 2023 Accepting new patients
North Brevard Medical Support, Inc CurrentSince May 20, 2019 Accepting new patients
Lisbon Area Health Services CurrentSince Nov 4, 2025 Accepting new patients
Mercy Medical Center Current Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Oct 15, 2025 Accepting new patients
Lisbon Area Health Services CurrentSince Nov 4, 2025 Accepting new patients
Mercy Home Care CurrentSince Jan 23, 2026 Accepting new patients
Mercy Medical Center CurrentSince Jan 23, 2026 Accepting new patients
Memorial Health Partners Foundation, Inc Hospitalist CurrentSince Oct 15, 2025 Accepting new patients
Mercy Hospital of Valley City CurrentSince Jul 1, 2024 Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

303 N Clyde Morris Blvd
Fl First
Daytona Beach, FL 32114
Phone (386) 425-6198

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

2771 Solution Ctr
Chicago, IL 60677

3265 Solutions Ctr
Chicago, IL 60677

3276 Solutions Ctr
Chicago, IL 60677

3369 Solutions Ctr
Chicago, IL 60677

1200 N 7th St
Oakes, ND 58474
Phone (701) 742-3291

570 Chautauqua Blvd
Valley City, ND 58072
Phone (701) 845-0440

1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1174899546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142709",
            "telephone_number": "386-226-4542",
            "fax_number": "386-239-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142709",
            "telephone_number": "386-226-4542",
            "fax_number": "386-239-2354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 Dunlawton Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321274234",
            "country_code": "US",
            "telephone_number": "919-599-4196",
            "fax_number": "386-204-7302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 DeSales Ave",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374041102",
            "country_code": "US",
            "telephone_number": "423-495-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SHAHABUDDIN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-29",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "2755",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "OS13176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.